| NPI | 1932530771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTA V ANSELMO Registered Dietitian/Owner 602-803-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 987208) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |